SF 3462

Introduction - 94th Legislature (2025 - 2026)

Posted on 04/30/2025 09:39 a.m.

A bill for an act
relating to commerce; requiring health care sharing arrangements to report annually;
proposing coding for new law in Minnesota Statutes, chapter 62A.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

Section 1.

new text begin [62A.68] HEALTH CARE SHARING ARRANGEMENT.
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new text begin Subdivision 1. new text end

new text begin Definitions. new text end

new text begin (a) For purposes of this section, the following terms have
the meanings given.
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new text begin (b) "Health care sharing arrangement" or "arrangement" means a person who (1) offers
or intends to offer a plan or arrangement to facilitate the payment or reimbursement of health
care costs for Minnesota residents, and (2) is not a health carrier.
new text end

new text begin (c) "Participant" means an individual Minnesota resident who has enrolled in a health
care sharing arrangement.
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new text begin Subd. 2. new text end

new text begin Report to commissioner. new text end

new text begin (a) By October 1, 2025, and by March 1 annually
thereafter, a health care sharing arrangement must submit a report to the commissioner that
is certified by an officer of the arrangement for accuracy. The report must cover the prior
calendar year and contain the following information:
new text end

new text begin (1) the number of participants in the arrangement;
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new text begin (2) the number of individuals participating in the arrangement who are not Minnesota
residents;
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new text begin (3) the number of employer groups and number of participants in each employer group
in the arrangement;
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new text begin (4) a list of health care providers, dentists, and pharmacies located in Minnesota that
provide health care services to participants in the arrangement;
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new text begin (5) the total amount of fees, dues, or other payments the arrangement collected from
participants;
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new text begin (6) the total amount, expressed as a percentage of the amount calculated in clause (5),
spent by the arrangement on administrative costs in the past year and the past five years;
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new text begin (7) the total amount that participants requested for health care costs and the arrangement
paid or reimbursed;
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new text begin (8) the total amount, expressed as a percentage of the amount calculated under clause
(7), that the arrangement denied payment or reimbursement, including requests that are
appealed;
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new text begin (9) a list of all benefits the arrangement covers, including but not limited to health
procedures, prescription drugs, and medical devices and supplies;
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new text begin (10) a list of excluded health conditions, including preexisting condition exclusions or
increased fees to participate in the arrangement for participants with existing health
conditions;
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new text begin (11) a description of the waiting period, if applicable, before a participant becomes
eligible for payment or reimbursement from the arrangement;
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new text begin (12) a description of eligibility requirements to participate in the arrangement;
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new text begin (13) a list of counties in Minnesota where the arrangement was offered and where the
arrangement is anticipated to be offered in the next calendar year;
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new text begin (14) contact and payment information for any third party that provided marketing for
or enrolled participants in the arrangement;
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new text begin (15) the names, addresses, and email addresses for the arrangement's key contacts; and
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new text begin (16) an organizational chart of the officers and directors of the arrangement.
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new text begin (b) By December 1, 2025, and April 1 every year thereafter, the Department of Commerce
must publish (1) a summary of the information described under paragraph (a), and (2)
information regarding how a consumer may file a complaint about an arrangement.
new text end